Guest guest Posted June 18, 2001 Report Share Posted June 18, 2001 I think that there are at least 2 other good reasons that surgeons are starting to offer the DS. First is patients asking for it and second is that the sustained weightloss is resolves the main complaint RNY patients have. Money? I don't think so. The insurance companies do *not* pay a substantial amount more for this more complex surgery than for the RNY. Psychological testing is supposed to determine if the patient has/is capable of the understanding and motivation adequate for following life time obligations for follow-up and taking care of nutritional needs. Unrealistic expectations are also of concern to some surgeons. NIH has a psychological screening as one of their recommendations, so it is done by a lot of WL surgeons. I'm not convinced that they know how to use or ignore the information obtained, or that this is the best use of psychological screening. in Seattle ----- Original Message ----- > In a message dated 6/17/01 11:49:54 PM Eastern Daylight Time, > duodenalswitch writes: > > << Now that the medical community is starting to view morbid obesity as a > disease and to embrace the surgery, those who have been in the field are > concerned that the newer surgeons will not have proper training, will run > into problems and ruin the good reputation that these surgeons have spent > years establishing. Time will tell. >> > YOu know what? I think I am jaded, but I bet the ones who are adding this > surgery now just see it as a way to make more money. I would think that is > the most prevalent reason for adding it, rather than thinking over-weight is > a disease and caring so much about helping out all the morbidly obese out > there. I know I would rather stick with the ones who have been doing this > surgery when it wasn't socially acceptable to help out the " fat " people that > those other docs kept putting on diets for years and looking down on. Guess > I have just had too many doctors who didn't have a clue the reasons for my > weight. > By the way, I know psychological interview is part of the testing process. > What is that for, exactly? Are they looking to see that you are not counting > on this surgery to make your life 100% perfect after it, or are they looking > to see that if you don't get the surgery, you are tired of living such a > depressing life? I feel both of those are correct in my case, but I would > hope I would answer the questions the way they want them answered and not > blow my chances because some shrink thought I should " just get disciplined > and go on a diet " instead of doing the surgery. > Carole Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 18, 2001 Report Share Posted June 18, 2001 It is my opinion, and it's just a tiny light in a big fire, that a good percentage of an increase in this specialty and in surgery is money. That's what makes the world go around and whether we like it or not, it is usually a motivator for any kind of change. However, we are at an advantage. The Doctors are fighting the insurance companies for us and I truly believe that most if not all of them have some sense of compassion for those of us who suffer from Obesity. Do your research on your surgeon if you feel they are in it just for the money (at least more for the money and a little less for compassion) run! Trust your instincts. Pre-Consult Re: new surgeons In a message dated 6/17/01 11:49:54 PM Eastern Daylight Time, duodenalswitch writes: << Now that the medical community is starting to view morbid obesity as a disease and to embrace the surgery, those who have been in the field are concerned that the newer surgeons will not have proper training, will run into problems and ruin the good reputation that these surgeons have spent years establishing. Time will tell. >> YOu know what? I think I am jaded, but I bet the ones who are adding this surgery now just see it as a way to make more money. I would think that is the most prevalent reason for adding it, rather than thinking over-weight is a disease and caring so much about helping out all the morbidly obese out there. I know I would rather stick with the ones who have been doing this surgery when it wasn't socially acceptable to help out the " fat " people that those other docs kept putting on diets for years and looking down on. Guess I have just had too many doctors who didn't have a clue the reasons for my weight. By the way, I know psychological interview is part of the testing process. What is that for, exactly? Are they looking to see that you are not counting on this surgery to make your life 100% perfect after it, or are they looking to see that if you don't get the surgery, you are tired of living such a depressing life? I feel both of those are correct in my case, but I would hope I would answer the questions the way they want them answered and not blow my chances because some shrink thought I should " just get disciplined and go on a diet " instead of doing the surgery. Carole ---------------------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
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